56
Views
2
CrossRef citations to date
0
Altmetric
Clinical Features

Does Bicycling Contribute to Erectile Dysfunction? Examining the Evidence

, MD, , MD & , MD, MS
Pages 44-53 | Published online: 11 Mar 2015

References

  • . US Department of Transportation Bureau of Transportation. Bicycle use among adult US residents. OmniStats. 2002;2(6):1–3
  • . Thompson MJ, Rivara FP. Bicycle-related injuries. Am Fam Physician. 2001;63(10):2007–2014
  • . Kita J. Men riding bicycles: the unseen danger. Bicycling. August 1997:68–73
  • . Curry A. Holey bike seats! you won't believe what cycling could do to you. US News World Rep. 2000;129(6):53
  • . Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol. 1994;151(1):54–61
  • . Brant WO, Lue TF, Smith JF. Evaluation and management of erectile dysfunction in clinical practice. J Clin Outcomes Manage. 2009;16(2):83–96
  • . Hippocrates. On Airs, Waters and Places. In: Hippocrates with an English translation (1923) by W H S Jones. Vol 1. London: Heinemann; 1923:125–131
  • . Alanee S, Heiner J, Liu N, Monga M. Horseback riding: impact on sexual dysfunction and lower urinary tract symptoms in men and women. Urology. 2009;73(1):109–114
  • . Naya Y, Ochiai A, Soh J, Kawauchi A, Miki T. Association between ED and LUTS in Japanese motorcyclists. Int J Impot Res. 2008;20(6):574–577
  • . Ochiai A, Naya Y, Soh J, . Do motorcyclists have erectile dysfunction? A preliminary study. Int J Impot Res. 2006;18(4):396–399
  • . Goodson JD. Pudendal neuritis from biking. N Engl J Med. 1981;304(6):365
  • . Solomon S, Cappa KG. Impotence and bicycling. A seldom-reported connection. Postgrad Med. 1987;81(1):99–100, 102
  • . Silbert PL, Dunne JW, Edis RH, Stewart-Wynne EG. Bicycling induced pudendal nerve pressure neuropathy. Clin Exp Neurol. 1991;28:191–196
  • . Fedele D, Coscelli C, Cucinotta D, ; Diade Study Group. Incidence of erectile dysfunction in Italian men with diabetes. J Urol. 2001;166(4):1368–1371
  • . Schwarzer U, Wiegand W, Bin-Saleh A, . Impotence rate in long distance cyclists. J Urol. 1999;161( 4 suppl):686A
  • . Andersen KV, Bovim G. Impotence and nerve entrapment in long distance amateur cyclists. Acta Neurol Scand. 1997;95(4):233–240
  • . Taylor JA 3rd, Kao TC, Albertsen PC, Shabsigh R. Bicycle riding and its relationship to the development of erectile dysfunction. J Urol. 2004;172(3):1028–1031
  • . Laumann EO, Gagnon JH, Michael RT, Michaels S. The Social Organization of Sexuality: Sexual Practices in the United States. Chicago, IL: The University of Chicago Press; 1994
  • . Marceau L, Kleinman K, Goldstein I, McKinlay J. Does bicycling contribute to the risk of erectile dysfunction? Results from the Massachusetts Male Aging Study (MMAS). Int J Impot Res. 2001;13(5):298–302
  • . Derby CA, Mohr BA, Goldstein I, Feldman HA, Johannes CB, McKinlay JB. Modifiable risk factors and erectile dysfunction: can lifestyle changes modify risk? Urology. 2000;56(2):302–306
  • . Ma RC, So WY, Yang X, . Erectile dysfunction predicts coronary heart disease in type 2 diabetes. J Am Coll Cardiol. 2008;51(21):2045–2050
  • . Gazzaruso C, Solerte SB, Pujia A, . Erectile dysfunction as a predictor of cardiovascular events and death in diabetic patients with angiographically proven asymptomatic coronary artery disease: a potential protective role for statins and 5-phosphodiesterase inhibitors. J Am Coll Cardiol. 2008;51(21):2040–2044
  • . Giugliano F, Esposito K, Di Palo C, . Erectile dysfunction associates with endothelial dysfunction and raised proinflammatory cytokine levels in obese men. J Endocrinol Invest. 2004;27(7):665–669
  • . Billups KL, Bank AJ, Padma-Nathan H, Katz SD, Williams RA. Erectile dysfunction as a harbinger for increased cardiometabolic risk. Int J Impot Res. 2008;20(3):236–242
  • . Esposito K, Giugliano F, Di Palo C, . Effect of lifestyle changes on erectile dysfunction in obese men: a randomized controlled trial. JAMA. 2004;291(24):2978–2984
  • . Dallal RM, Smith JA, O'Leary MP, Harkaway RC, Sawh SS. Profound sexual dysfunction is common in the morbidly obese male and is reversed after gastric bypass surgery. J Urol. 2008;179( 4 suppl):405–406
  • . Ross R, Dagnone D, Jones PJ, . Reduction in obesity and related comorbid conditions after diet-induced weight loss or exercise-induced weight loss in men. A randomized, controlled trial. Ann Intern Med. 2000;133(2):92–103
  • . Desai KM, Gingell JC. Hazards of long distance cycling. BMJ. 1989;298(6680):1072–1073
  • . Oberpenning F, Roth S, Leusmann DB, van Ahlen H, Hertle L. The Alcock syndrome: temporary penile insensitivity due to compression of the pudendal nerve within the Alcock canal. J Urol. 1994;151(2):423–425
  • . Gemery JM, Nangia AK, Mamourian AC, Reid SK. Digital three-dimensional modelling of the male pelvis and bicycle seats: impact of rider position and seat design on potential penile hypoxia and erectile dysfunction. BJU Int. 2007;99(1):135–140
  • . Bressel E, Reeve T, Parker D, Cronin J. Influence of bicycle seat pressure on compression of the perineum: a MRI analysis. J Biomech. 2007;40(1):198–202
  • . Schrader SM, Breitenstein MJ, Clark JC, Lowe BD, Turner TW. Nocturnal penile tumescence and rigidity testing in bicycling patrol officers. J Androl. 2002;23(6):927–934
  • . Burris AS, Banks SM, Sherins RJ. Quantitative assessment of nocturnal penile tumescence and rigidity in normal men using a home monitor. J Androl. 1989;10(6):492–497
  • . Guay AT, Heatley GJ, Murray FT. Comparison of results of nocturnal penile tumescence and rigidity in a sleep laboratory versus a portable home monitor. Urology. 1996;48(6):912–916
  • . Moore CA, Fishman IJ, Hirshkowitz M. Evaluation of erectile dysfunction and sleep-related erections. J Psychosom Res. 1997;42(6):531–539
  • . Lowe BD, Schrader SM, Breitenstein MJ. Effect of bicycle saddle designs on the pressure to the perineum of the bicyclist. Med Sci Sports Exerc. 2004;36(6):1055–1062
  • . Bressel E, Larson BJ. Bicycle seat designs and their effect on pelvic angle, trunk angle, and comfort. Med Sci Sports Exerc. 2003;35(2):327–332
  • . Dickson T. Preventing overuse cycling injuries. Phys Sportsmed. 1985;13(10):116–123
  • . Schrader SM, Breitenstein MJ, Lowe BD. Cutting off the nose to save the penis. J Sex Med. 2008;5(8):1932–1940
  • . Bressel E, Cronin J. Bicycle seat interface pressure: reliability, validity, and influence of hand position and workload. J Biomech. 2005;38(6):1325–1331
  • . Wilson C, Bush TR. Interface forces on the seat during a cycling activity. Clin Biomech (Bristol, Avon). 2007;22(9):1017–1023
  • . Keytel LR, Noakes TD. Effects of a novel bicycle saddle on symptoms and comfort in cyclists. S Afr Med J. 2002;92(4):295–298
  • . Nayal W, Schwarzer U, Klotz T, Heidenreich A, Engelmann U. Transcutaneous penile oxygen pressure during bicycling. BJU Int. 1999;83(6):623–625
  • . Sommer F, Schwarzer U, Klotz T, Caspers HP, Haupt G, Engelmann U. Erectile dysfunction in cyclists. Is there any difference in penile blood flow during cycling in an upright versus a reclining position? Eur Urol. 2001;39(6):720–723
  • . Sommer F, König D, Graft C, . Impotence and genital numbness in cyclists. Int J Sports Med. 2001;22(6):410–413
  • . Jeong SJ, Park K, Moon JD, Ryu SB. Bicycle saddle shape affects penile blood flow. Int J Impot Res. 2002;14(6):513–517
  • . Cohen JD, Gross MT. Effect of bicycle racing saddle design on transcutaneous penile oxygen pressure. J Sports Med Phys Fitness. 2005;45(3):409–418
  • . Munarriz R, Huang V, Uberoi J, Maitland S, Payton T, Goldstein I. Only the nose knows: penile hemodynamic study of the perineum-saddle interface in men with erectile dysfunction utilizing bicycle saddles and seats with and without nose extensions. J Sex Med. 2005;2(5):612–619
  • . Ronado R, Squadrone R, Sacchi M, Marzegan A. Saddle pressure distribution in cycling: comparison of saddles of different design and materials. Paper presented at: Proceedings of the XXth International Symposium on Biomechanics in Sports; July 1–5, 2002; Caceras, Spain
  • . Dettori JR, Koepsell TD, Cummings P, Corman JM. Erectile dysfunction after a long-distance cycling event: associations with bicycle characteristics. J Urol. 2004;172(2):637–641
  • . Lehmann K, Schöpke W, Hauri D. Subclinical trauma to perineum: a possible etiology of erectile dysfunction in young men. Eur Urol. 1995;27(4):306–310
  • . De Rose AF, Giglio M, De Caro G, Corbu C, Traverso P, Carmignani G. Arterial priapism and cycling: a new worrisome reality? Urology. 2001;58(3):462
  • . Golash A, Gray R, Ruttley MS, Jenkins BJ. Traumatic priapism: an unusual cycling injury. Br J Sports Med. 2000;34(4):310–311
  • . Shankar KR, Babar S, Rowlands P, Jones MO. Posttraumatic high-flow priapism: treatment with selective embolisation. Pediatr Surg Int. 2000;16(5–6):454–456
  • . Brant WO, Bella AJ, Garcia MM, Lue TF. Priapism. In: Hohenfellner M, Santucci RA, eds. Emergencies in Urology. 1st ed. Berlin: Springer-Verlag; 2007

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.